Clinical Study of Fournier’s Gangrene – Management and Outcome
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 7
Abstract
Background: Fournier’s gangrene is a necrotising fasciitis of the genitalia and perineum, with associated polymicrobial infection and risk of organ failure or death. Patients And Methods: We studied 40 during January 2012 and December 2013. Results: the mean patient age was 48.3 years (range 28 - 66 years), with a peak age incidence of 50 - 59 years. The majority of patients were farmers and manual labourers . The site of gangrene was scrotal in 31 patients (77.5%), penoscrotal in 3 (12.5%), abdominoscrotal in 2 (5%) and scroto-perianal in 1 (5%).Systemic predisposing factors identified were diabetes mellitus in 12 patients (30%), congestive cardiac failure in 1 (2.5%) and hiv infection in 3 (7.5%). In 24 patients (60%) no systemic factor was identified. Local predisposing factors identified were chronic scrotal skin itching in 20 patients (50%), scrotal thorn injury in 2 (5%) and urethral catheterisation in 2 (5%).The common clinical features were fever, scrotal swelling/pain, and later a malodorous painless wound. Treatment involved fluid administration, correction of electrolyte imbalance, antibiotics, debridement and daily wound inspection/ dressing with hydrogen peroxide soaks and sodium hypochlorite. The mean duration of hospital stay was 40.days (range 20 - 80 days). Two patient died (5%). Conclusion: Fournier’s gangrene is a challenging surgical problem, with significant morbidity. Diabetes mellitus is a significant systemic risk factor. Local risk factors, especially chronic scrotal itching, were contributory. With proper management, mortality is low.
Authors and Affiliations
Dr Viraj Chandrashekhar Shinde
Keywords
Related Articles
- EP ID EP212111
- DOI -
- Views 59
- Downloads 0
A Study on Prevalence of Hand Flora of School Going Children from Eastern Part of India
Contaminated hands play a major role in transmission of diarrheal and acute respiratory illness. However, both the illness is self-limiting, but can be fatal in some of the cases if not treated properly on time. Normally...
Gastrointestinal Complication of Major Abdominal Surgeries and their Effect on Total Hospital Stay
Objective: This study sought to determine the influence of post operative gastrointestinal complication on the clinical outcome of the patients who underwent major abdominal surgeries. Method: A prospective study was con...
High Resolution Sonographic Evaluation of Thyroid Lesion
Aim and Objective - To evaluate the role of USG as primary modality in thyroid disorders and validity of the USG diagnosis in relation to FNAC diagnosis either palpation or USG guided. Methods and Materials-The patients...
Choledocholithiasis: Clinical Manifestations and Associated Conditions
Background: More than 98% of all biliary tract disorders are in some way related to gallstones. Choledocholithiasis refers to the presence of gallstones within the common bile duct (CBD). It represent a clinical problem...
Serum Iron Studies as a Marker for Anaemia in Patients of Type 2 Diabetes Mellitus without Nephropathy
Aim: To study the presence of anaemia in patients with Type 2 DM without nephropathy and to use serum Iron studies as a marker for anaemia. In addition, the incidence and risk of anaemia were assessed according to age, g...